Wilkinson, Di

Wilkinson, Di is an sole proprietor health care provider with primary practice located at 3101 Chandler Rd #101, Muskogee OK 74403-4954. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wilkinson, Di can be contacted via phone (918) 687-4411.

Contact Information

Primary practice address
3101 Chandler Rd #101 Muskogee OK 74403-4954
Fax: (918) 687-4448
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 8414 Oklahoma

Profile Details

NPI number 1790703130
LBN Legal business name Wilkinson, Di
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790703130 NPPES
Oklahoma MEDICAID 100149870D

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